Medical Billing and Coding Specialist

Job Summary

About Us

We help medical practices recover lost revenue, eliminate billing bottlenecks, and stabilize predictable cash flow through a blend of RCM expertise, payer-side strategy, and claims analysis. Our mission is to ensure providers get paid accurately and consistently for the care they deliver.

Role Overview:

We are seeking an experienced Medical Biller & Coder to support full-cycle revenue operations—including coding, claims submission, denial resolution, payment posting, and accounts receivable follow-up. The ideal candidate has hands-on payer experience, understands denial patterns, and thrives in a fast-moving, detail-oriented workflow. Your expertise will drive accurate reimbursement and seamless management of medical records.You will interpret and assign appropriate medical codes, ensure precise billing processes, and support the financial health of our healthcare operations. Your attention to detail and knowledge of medical terminology will help facilitate efficient claims processing, improve revenue cycles, and uphold compliance standards across various healthcare settings.

Part Time: Expected hours: 4.0 – 20.0 per week
Availabile: 10:00AM - 1:00PM EST

Responsibilities

Review and analyze medical records to accurately assign ICD-10 (International Classification of Diseases, Tenth Revision), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for diagnoses, procedures, and treatments.
Prepare and submit clean claims using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems to insurance companies, ensuring adherence to payer guidelines.
Follow up on unpaid or denied claims through effective medical collection strategies, resolving discrepancies promptly.
Maintain comprehensive and organized medical records, ensuring all documentation aligns with coding standards and legal requirements.
Collaborate with healthcare providers to clarify documentation and optimize coding accuracy for maximum reimbursement.
Stay current with updates in ICD-9 (used historically), ICD-10, CPT coding, and other regulatory changes affecting medical billing practices.
Ensure compliance with healthcare regulations and guidelines related to medical billing, coding, and recordkeeping.
Qualifications

Proven experience in medical billing, coding, or a related healthcare administrative role.
Strong knowledge of medical terminology, anatomy, and physiology essential for accurate code assignment.
Familiarity with EMR/EHR systems used for documentation and billing processes.
Proficiency in ICD-10/ICD-9 coding systems along with CPT coding procedures.
Understanding of DRG classifications and their application in hospital billing scenarios.
Excellent attention to detail with the ability to review complex medical records thoroughly.
Effective communication skills to collaborate with healthcare providers and insurance representatives. Join us in making a difference by ensuring healthcare providers receive proper reimbursement while maintaining the highest standards of accuracy and compliance! Your expertise will help streamline operations and support quality patient care through precise coding and billing practices.
Key Skills:

Strong attention to detail
Ability to analyze EOBs/ERA data
Understanding of payer rules & timelines
Excellent written communication
Problem-solving around revenue & denials